Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeannine Maytan, LM

Individual provider Advanced Practice Midwife · NPI 1558894188

Jeannine Maytan, LM is a Certified Nurse Midwife (CNM) in Coram, New York. Qualified in 2016, 10 years ago. Practices with Charter Oak Health Center, Inc, a 37-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2017

Practice location Address checks out

7 Charleston Ct
Coram, NY 11727-1606
Phone: (646) 251-5489
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 001756 (NY)

Record details

NPI number1558894188
Entity typeIndividual (Type 1)
GenderFemale
Credentials LM
Sole proprietorYes
NPI enumeratedApril 10, 2017
Last updated in NPPESApril 10, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Charter Oak Health Center, Inc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare